MyPlate

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Expiration Date: 04/30/2013

OMB BURDEN STATEMENT:  According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time to complete this information collection is estimated as 90 minutes, including the time for reviewing instructions and completing the information.

Attachment G - Educator Journal for Teachers Grades 1-6

Prepared by

Research undertaken to inform the development of nutrition education materials for the

U.S. Department of Agriculture Food and Nutrition Service

Educator Journal

Lesson 1

During which subject did you conduct the MyPlate lesson (Check all that apply)

 Math

 History

 Science

 Language Arts

 Other: _____________

Which days did you conduct MyPlate lessons (Check all that apply)

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

 

 

 

 

 

Activities

Time

Student Response

To what extend do you agree with the following?

Please describe any challenges you experienced

In Class Activity 1:

I did not teach this.
1 – 15 min.
16 - 30 min.
31-45 min.
over 45 min

Enjoyed a lot
Enjoyed a little
Did not enjoy very much
Did not enjoy at all

This helped meet the learning objective:

Strongly Agree
Agree
Disagree
Strongly Disagree

Notes:_______________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

In Class Activity 2:

I did not teach this.
1 – 15 min.
16 - 30 min.
31-45 min.
over 45 min

Enjoyed a lot
Enjoyed a little
Did not enjoy very much
Did not enjoy at all

This helped meet the learning objective:

Strongly Agree
Agree
Disagree
Strongly Disagree

Lunchroom Connection:

I did not teach this.
1 – 15 min.
16 - 30 min.
31-45 min.
over 45 min

Enjoyed a lot
Enjoyed a little
Did not enjoy very much
Did not enjoy at all

This helped meet the learning objective:

Strongly Agree
Agree
Disagree
Strongly Disagree

Home Connection:

I did not teach this.
1 – 15 min.
16 - 30 min.
31-45 min.
over 45 min

Enjoyed a lot
Enjoyed a little
Did not enjoy very much
Did not enjoy at all

This helped meet the learning objective:

Strongly Agree
Agree
Disagree
Strongly Disagree

How responsive were parents to the take-home activity/assignment? (Check One)

 Responsive

 Somewhat Responsive

 Somewhat Non-responsive

 Non-responsive

How much do you agree with this statement: I had enough support and training to teach this lesson

Strongly Agree

Agree

 Disagree

 Strongly Disagree

Lesson 1 - Continued

Did this lesson meet the listed curriculum standards for math, science, ELA? Why, Why Not?
Please describe any changes to the lesson or materials that would make this lesson easier to implement:

Which, if any, of the extension activities did you complete?

ELA

Art

Science

Math

Please describe the extension activity you completed:

What was successful? What would you change:

Educator Journal

Lesson 2

During which subject did you conduct the MyPlate lesson (Check all that apply)

 Math

 History

 Science

 Language Arts

 Other: _____________

Which days did you conduct MyPlate lessons (Check all that apply)

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

Activities

Time

Student Response

To what extend do you agree with the following?

Please describe any challenges you experienced

In Class Activity 1:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

Notes:______________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________

In Class Activity 2:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

Community Connection:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

How much do you agree with this statement: I had enough support and training to teach this lesson

Strongly Agree

Agree

 Disagree

 Strongly Disagree

Lesson 2 – Continued

Did this lesson meet the listed curriculum standards for math, science, ELA? Why, Why Not?
Please describe any changes to the lesson or materials that would make this lesson easier to implement:

Which, if any, of the extension activities did you complete?

ELA

Art

Science

Math

Please describe the extension activity you completed:

What was successful? What would you change:

Educator Journal

Lesson 3

During which subject did you conduct the MyPlate lesson (Check all that apply)

 Math

 History

 Science

 Language Arts

 Other: _____________

Which days did you conduct MyPlate lessons (Check all that apply)

 Monday

 Tuesday

 Wednesday

 Thursday

 Friday

Activities

Time

Student Response

To what extend do you agree with the following?

Please describe any challenges you experienced

In Class Activity 1:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

Notes:______________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________

In Class Activity 2:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

Lunchroom Connection:

I did not teach this. 1 – 15 min. 16 - 30 min. 31-45 min. over 45 min

Enjoyed a lot Enjoyed a little Did not enjoy very much Did not enjoy at all

This helped meet the learning objective: Strongly Agree Agree Disagree Strongly Disagree

How much do you agree with this statement: I had enough support and training to teach this lesson

Strongly Agree

Agree

 Disagree

 Strongly Disagree

Lesson 3 – Continued

Did this lesson meet the listed curriculum standards for math, science, ELA? Why, Why Not?
Please describe any changes to the lesson or materials that would make this lesson easier to implement:

Which, if any, of the extension activities did you complete?

ELA

Art

Science

Math

Please describe the extension activity you completed:

What was successful? What would you change: